Karen Elaine Wood, MA-CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · New Haven, MO
NPI 1154595205 · NPPES record last updated May 3, 2008
Key facts
- NPI
- 1154595205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2006022433 (MO)
- Practice address
- 4172 Sunny Rd
New Haven, MO 63068-2710 - Phone
- (573) 459-2209
- NPI assigned
- Apr 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006022433 | MO | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2006022433 | MO | Yes |
Addresses
Primary practice location
4172 Sunny Rd
New Haven, MO 63068-2710
Mailing address
4172 Sunny Rd
New Haven, MO 63068-2710
Phone (573) 459-2209
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154595205 | Other | NATIONAL PROVIDER IDENTIFIER | |
| 856288303 | Medicaid | MO |
Other providers in New Haven, MO
- Pratt'S Rexall Drugs, Inc.
- Chelsea Renee Schaning
- Ross Thomas Seitter
- Charles J Tritch
- Craig Neal Willimann
All providers in New Haven, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.